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761 Baileys Chapel Rd (2) Davie County,NC Tax Parcel Report Wednesday, October 12, 2016 P�tIKLg11lD RD 4 �Q tt1 COVINGTON c �yAP SYS �' o o , DR ON p r = ARD ��� g GOA t -X —C7 U) ��a91 NILCYS ANNE EL RN CRiJtiP_`O ' TRL - �4 - 4 {. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H800000043 Township: Shady Grove NCPIN Number: 5779726701 Municipality: Account Number. 55686000 Census Tract: 37059-804 Listed Owner 1: PATTON ALFRED RAY Voting Precinct: WEST SHADY GROVE Mailing Address 1: 761 BAILEYS CHAPEL ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27006-7144 Voluntary Ag.District: No Legal Description: 137.87 AC BAILEYS CH(150.65 AC) Fire Response District: ADVANCE Assessed Acreage: 159.57 Elementary School Zone: SHADY GROVE Deed Date: 11/2015 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 010051127 Soil Types: PaD,WeC,WeB,PcB2,PcC2,ChA Plat Book: 12 Flood Zone: Plat Page: 121 Watershed Overlay: DAVIE COUNTY Building Value: 1028160.00 Outbuilding&Extra 12600.00 Freatures Value: Land Value: 949480.00 Total Market Value: 1990240.00 Total Assessed Value: 1129310.00 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County s GIS website shall hold harmless the County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all Balms or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this webaite. ��-.#y�'.t"°t ��� Z r`2t,a'w"'�,`�.-k `zt�i v.,, t� "^+i7�r.;,�:'. �:,,. "'i.x,h'S-'+,s -^t,�`,:'YT "a�.; -5',.1+4-� •.r„'�4 an ,.a;,'ii, 00 . AUTHORIZATION NO. 0 6 8 0 DAVIE COUNTY HEALTH DEPARTMENT I by 4 u� Environmental Health Section PROPERTY INFORMATION Pe mittee's P.O.Box 848 Name:. Mocksville,NC 27028 Subdivision Name: Phone#:704-634-8760 i., _ Y Section:' Lot: Directions to property; � 1.� �, �. 1 p AUTHORIZATION FOR ^y t� t7 1 X Oy M I A C� .J F�i 4� WASTEWATER Tax Office PIN:#Jr T71T SYSTEM CONSTRUCTION 00 c , Road Name: **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building.Inspections Office when,applying for Building Permits. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems;Section.1900 Sewage Treatment and Disposal Systems) a+ ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ,;•: ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ' .;,b-e t+y.� r t ;.� 7 i«�> .r'r'+^ys�r $:M i by�.i'_Nv yr i„-7;.:�.Ki a .rt .e .,�. r�1.Ix " 11�� DAVIE COUNTY HEALTH]DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION { A ©r4 Subdivision Name: Dngcfions to property: •y �� , ' ' Section: Lot: IIbII'ROVEMENT / � :' }x' V > �tw,r•,`1' ".; PERMIT Tax Office PIN:46 Road Name 61 Zip: **NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE.YOURRWASTEWATER- ENVIRONMENTAL HEALTH SPECIALIST' DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE OVI& #BEDROOMS L4 #BATHS 5 #OCCUPANTS GARBAGE DISPOSAL: 'e or No COMMERCIAL SPECIFICATION: FACILITY TYPE "' #PEOPLE #PEOPLE/SHIFT #SEATS t /INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPLY' ZM DESIGN WASTEWATER FLOW(GPD) �� NEW SITE ✓ REPAIR SITE ' tl SYSTEM SPECIFICATIONS: TANK SIZE � GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR FT. OTHER y: w REQUIRED SITE MODIFICATIONS/CONDITIONS- IMPROVEMENT PERMIT AYO F "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760. OPERATI PE �rr 13 SYSTEM INSTALLED BY: � �1I�GJ STIc= S 3 � 7 LN „x?�P i P 'r �T AUTHORIZATION NO.Q(c-9D OPERATION PERMIT BY: DATE:41i'l ^'1 "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTE DESCRIBED ABOVE EEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96(Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT, 0 r rJ rm Davie County Health Department D v Environmental Health Section P.O.Box 848 FEB 1 81997 Mocksville,NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED \\ ALL THE REQUIRED INFORMATION IS PROVIDED.( \ 1. Name to be Billed7�re �o wuv�� �cYN \n\\dt c�� Contact Person �9 Gy'�AY1sJMayy1> Mailing Address C:�;k-1O0 �a�e ��'c`cb� Z,(-• Home Phone %% -C12—\0 O City/State/Zip Q�\rS SA',zim _Q 2'-jk1W0 Business Phone�4�0- 2. Name on Permit/ATC if Different than Above k�nv-\ ��&Y\� Mailing Address I ci\ �t`Ct C� City/State/Zip $NL\3yt`ncC (e 3. Application For: ❑ Site Evaluation lirimprovement Permit&ATC Both 4. System to Serve: 2r House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms Mr bishwasher 2'*Garbage Disposal VWashing Machine Fd4asement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage(gallons per day) 7. Type of water supply: ❑ County/City Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes LK'No If yes,what type? PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: ti3'�- -Z 1 WRITE DIRECTIONS(from _ 1 Mocksville)TO PROPERTY. Tax Office PIN: # 7 79 Property Address: Road Name �0 �c on1��� ��• i -Ta Co cr City/zip pyormc If in Subdivision provide information,as follows: 1 vuName: 1 1 S om ��t• Section: Lot #: 1 1 1 This is to certify that the information provided is correct to the best of my knowledge.I understand that any permit(s)issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or changed.I,also,understand that I am responsible for all charges incurred from this application.I,hereby,give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by ` pAO n to conduct all testing procedures as necessary to determine the site suitability. DATE r, —/ 7— l SIGNATURE Revised DCHD(06-96) 1 1 53 -- � 1 PARCEL I I PARCEL 6 EY SLAGLE JULIUS HOWARD BARNES DAISY MINOR P. 376 stone found D. B. 47- P. 616 I D.B. 35- P.017 in farm rdpd S 87o 26-40 E I I Iiron 1,143.78' found o � I o� N 0 O U)iron pl„cLd in stone pile r • �'fC D � wh- 137. 871 ACRES to W . %goo, AN 21'-30"Wo. .57' N41°-35' W 13 0.08' i l � fir• N 47°54' W 6 38 517.75 O 11), 0�g 2 ^� 34"W� �r �Q � O N 4 7°-2 4'-5 4"W 'r \X � � I t23.70'— N45°-33'-54"W ` N 44°--22'W 395.51' 113.33'—N44° 38' W � 100.56 — N43°--19'27" W `� �\ x 69.38' N42°-03'-57" W \ N 40°-41' W — 155.73- V x 207.09 N 300L 40'-10"W � 0\ N 430-07'-30"W — 102.71' '\ N 510-55'-30"W DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME \ T-4mm� DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE 170 SUBDIVISION %b ROAD NAME �� Water Supply: On-Site Well ✓ Community Public Evaluation By: t?— Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position S Sloe% HORIZON I DEPTH Texture groupC t_ Consistence Structure �— Mineralogy HORIZON II DEPTH `' 1 Texture group Consistence _ Structure Mineralogy ` HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON — SAPROLITE CLASSIFICATION S •S LONG-TERM ACCEPTANCE RATE -3 SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: a OTHER(S)PRESENT: Da Q REMARKS: LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope T-Terrace FP-Flood plain H-Head slope Texture S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty clay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic Structure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralogy 1:1,2:1,Mixed Notes Horizon depth-In inches Depth of fill-In inches Restrictive horizon-Thickness and inches from land surface Saprolite-S(suitable),U(unsuitable) Soil wetness-Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification-S(suitable),PS(provisionally suitable),U(unsuitable) LTAR-Long-term acceptance rate-gal/day/ft2 DCHD(01-90) ■■■■■■■■■■■■eee.■■■■■era■■■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■e■■ewe■■■■e■■■■■■■■■.■■�..._�:e■■■■■■■■■■■■■■e■■■■t■■■ ■■■■fl!!Z�■:1■11■II■t11■■■■■■I�■!■■r►lll�i�■■■■■e■■■■I■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■11■11■!�■e►I■■■■■■■L■■■■�■■e__!�;:ice■■■■■■■�1�■■■■■■■■■■■■■■■■■■ ■■■■■■■'III/C�i�t%■■■■■■■■■■■■■■■■■■■■■■■■■■Y■■■it■■■\■■■■■■■t■■■■■■■ ■■■■■■IlI�1I■■II■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■11■■`%■■■■ale■■■■■■■■■■■■■ ■■■■■■rice■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■r■■■■ee■�■■■1■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■�.s■■■■■■■■■■■■■■■■■■■■■■oma■■■■■rl■■■■■■■■■■■■■ ulUiiiiiii Aiiiiiiiiiiiiiiiiii�iiiiiii�ii�iiiii�iiiiiii ■■■■■■■■■■■■t■n■■■��t■al■■■■■■■■■ ■■■■■■■■■■��■■■■��■■■■■■■��■■■■■■■■ ■■■■■■■■■■■■■■iii■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■��■■■■■■■■ ■■■■■■■■■■■■■■■i�■■■■■■■■■Ise■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■